AAPD Reference Manual 2022-2023
RESOURCES: AIRWAY ASSESSMENT
Part IV: Clinical assessment Does the patient appear overweight ?
BMI ___________ Percentile ___________
NO
YES
Does the patient have
limited neck mobility? micro/retrognathia? limited oral opening? lip incompetency? an anterior open bite?
NO NO NO NO NO NO NO NO
YES YES YES YES YES YES YES
a narrow maxillary arch with vaulted palate?
a posterior crossbite?
macroglossia? YES Which Modified Mallampati Classification 1 best describes the patient?
I
II
III
IV
I
II
III
IV
Which tonsillar grade 1 (adapted) best describes the patient?
0
1
2
3
4
0
1
2
3
4
Surgically removed tonsils
Tonsils hidden within tonsil pillars
Tonsils extending to the pillars
Tonsils are beyond the pillars
Tonsils extend to midline
Is a medical referral indicated? YES Comments: ____________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ _______________________________________ _________________ Doctor’s signature Date Reference: 1. Friedman M, Tanyeri H, La Rosa M, et al. Clinical predictors of obstructive sleep apnea. Laryngoscope 1999;109(12):1901-7. NO
Images reprinted and adapted with permission of John Wiley and Sons. Copyright © 1999. Friedman M, Tanyeri H, La Rosa M, Landsberg R, et al. Laryngoscope 1999;109(12):1901-7. Available at: “https://onlinelibrary.wiley.com/doi/abs/10.1097/00005537-199912000-000028” . Laryngoscope is published for the American Laryngological Rhinological and Otological Society by John Wiley and Sons Ltd.
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